Active NPI
Bitterroot Anesthesiology
- Anesthesiology Physician
- Missoula, MT
National Provider Identifier
1861504102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 9615
- Legal business name
- BITTERROOT ANESTHESIOLOGY
- Practice address
- 150 Strand Ave
Missoula, MT 59801-5719 - Phone
- (406) 370-9308
- Fax
- (406) 449-6531
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula J Hanig, CPC, CHBME
- Title
- Medical Billing Agent
- Phone
- (406) 443-3076
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 9615 | MT | Primary |
Addresses
Primary practice location
150 Strand Ave
Missoula, MT 59801-5719
Mailing address
150 Strand Ave
Missoula, MT 59801-5719
Phone (406) 370-9308
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861504102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 STRAND AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015719",
"telephone_number": "406-370-9308",
"fax_number": "406-449-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 STRAND AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015719",
"telephone_number": "406-370-9308",
"fax_number": "406-449-6531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BITTERROOT ANESTHESIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HANIG",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL BILLING AGENT",
"authorized_official_telephone_number": "406-443-3076",
"authorized_official_credential": "CPC, CHBME"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MT",
"license": "9615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.